Unmet Health Needs of Two Billion : Is Community Financing a Solution?
One of the most urgent and vexing problem around the world is how to finance and provide health care for the more than two billion peasants and ghetto dwellers in low- and middle-income countries. Part I of this paper develops a conceptual framewor...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2001/09/3541984/community-financing-solution-unmet-health-needs-two-billion-community-financing-solution http://hdl.handle.net/10986/13677 |
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okr-10986-136772021-04-23T14:03:09Z Unmet Health Needs of Two Billion : Is Community Financing a Solution? Hsiao, William C. ABILITY TO PAY AVERAGE PERSON BASIC HEALTH CARE CITIZENS CLINICS COMMUNITIES COMMUNITY CONTROL COMMUNITY FINANCING COMMUNITY HEALTH COMMUNITY INVOLVEMENT COMMUNITY MEMBERS COMMUNITY ORGANIZATION COMMUNITY PARTICIPATION CORRUPTION COUNTRY COVERAGE DOCTORS ECONOMIC DEVELOPMENT ECONOMICS EMPLOYMENT FREE CHOICE GOOD GOVERNANCE HEALTH CARE HEALTH CARE FINANCING HEALTH DELIVERY HEALTH EDUCATION HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCING HEALTH INSURANCE HEALTH NEEDS HEALTH POLICY HEALTH POSTS HEALTH PROFESSIONALS HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HMO HOSPITAL SERVICES HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCE HYGIENE INCOME INCOME LEVELS INDUCED DEMAND INFORMAL SECTOR INTERNATIONAL DEVELOPMENT ISOLATION LOCAL COMMUNITY LOW-INCOME COUNTRIES MANAGERS MARKET FAILURES MARKETING MEDICAL TREATMENT MORAL HAZARD MOTIVATION MUTUAL AID NEIGHBORHOOD NONGOVERNMENTAL ORGANIZATIONS NUTRITION OUTPATIENT SERVICES OUTREACH PATIENTS PHARMACISTS PHYSICIANS POLITICAL ECONOMY POLITICAL INSTABILITY POVERTY ALLEVIATION PRIMARY CARE PRIMARY HEALTH CARE PRIVATE INSURANCE PRIVATE SECTOR PROVIDER INCENTIVES PUBLIC EMPLOYMENT PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC POLICY PUBLIC SECTOR QUALITY OF HEALTH CARE RELIGIOUS ORGANIZATIONS SOCIAL CAPITAL SOCIAL COHESION SOCIAL INSURANCE TAX BASE TAX COLLECTION TAX REVENUES WORKERS One of the most urgent and vexing problem around the world is how to finance and provide health care for the more than two billion peasants and ghetto dwellers in low- and middle-income countries. Part I of this paper develops a conceptual framework for community financing and uses it to clarify and classify the variety of community financing schemes. This section of the papers discusses the impact of community financing schemes on outcomes and compares them to several African countries. Part II uses the conceptual framework developed above to explain why some community financing schemes in Asia have been successful and why some have failed. The review points to a number of measure that governments could take to strengthen such community financing. They include subsidizing the premiums of the poor, providing technical assistance to improve scheme management capacity, and forging links with formal health care networks. Satisfaction with the scheme was often related to the nature of direct community involvement in their design and management. A critical factor was the matching willingness and ability to pay with the expectation of benefits to be received at some later time. The review also highlighted several areas of government actions that appear to have a negative impact on the function of community financing schemes. Top-down interference with scheme design and management appeared to have a particularly negative impact on their function and sustainability. 2013-05-30T14:38:58Z 2013-05-30T14:38:58Z 2001-09 http://documents.worldbank.org/curated/en/2001/09/3541984/community-financing-solution-unmet-health-needs-two-billion-community-financing-solution http://hdl.handle.net/10986/13677 English en_US HNP discussion paper series; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ABILITY TO PAY AVERAGE PERSON BASIC HEALTH CARE CITIZENS CLINICS COMMUNITIES COMMUNITY CONTROL COMMUNITY FINANCING COMMUNITY HEALTH COMMUNITY INVOLVEMENT COMMUNITY MEMBERS COMMUNITY ORGANIZATION COMMUNITY PARTICIPATION CORRUPTION COUNTRY COVERAGE DOCTORS ECONOMIC DEVELOPMENT ECONOMICS EMPLOYMENT FREE CHOICE GOOD GOVERNANCE HEALTH CARE HEALTH CARE FINANCING HEALTH DELIVERY HEALTH EDUCATION HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCING HEALTH INSURANCE HEALTH NEEDS HEALTH POLICY HEALTH POSTS HEALTH PROFESSIONALS HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HMO HOSPITAL SERVICES HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCE HYGIENE INCOME INCOME LEVELS INDUCED DEMAND INFORMAL SECTOR INTERNATIONAL DEVELOPMENT ISOLATION LOCAL COMMUNITY LOW-INCOME COUNTRIES MANAGERS MARKET FAILURES MARKETING MEDICAL TREATMENT MORAL HAZARD MOTIVATION MUTUAL AID NEIGHBORHOOD NONGOVERNMENTAL ORGANIZATIONS NUTRITION OUTPATIENT SERVICES OUTREACH PATIENTS PHARMACISTS PHYSICIANS POLITICAL ECONOMY POLITICAL INSTABILITY POVERTY ALLEVIATION PRIMARY CARE PRIMARY HEALTH CARE PRIVATE INSURANCE PRIVATE SECTOR PROVIDER INCENTIVES PUBLIC EMPLOYMENT PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC POLICY PUBLIC SECTOR QUALITY OF HEALTH CARE RELIGIOUS ORGANIZATIONS SOCIAL CAPITAL SOCIAL COHESION SOCIAL INSURANCE TAX BASE TAX COLLECTION TAX REVENUES WORKERS |
| spellingShingle |
ABILITY TO PAY AVERAGE PERSON BASIC HEALTH CARE CITIZENS CLINICS COMMUNITIES COMMUNITY CONTROL COMMUNITY FINANCING COMMUNITY HEALTH COMMUNITY INVOLVEMENT COMMUNITY MEMBERS COMMUNITY ORGANIZATION COMMUNITY PARTICIPATION CORRUPTION COUNTRY COVERAGE DOCTORS ECONOMIC DEVELOPMENT ECONOMICS EMPLOYMENT FREE CHOICE GOOD GOVERNANCE HEALTH CARE HEALTH CARE FINANCING HEALTH DELIVERY HEALTH EDUCATION HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCING HEALTH INSURANCE HEALTH NEEDS HEALTH POLICY HEALTH POSTS HEALTH PROFESSIONALS HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HMO HOSPITAL SERVICES HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCE HYGIENE INCOME INCOME LEVELS INDUCED DEMAND INFORMAL SECTOR INTERNATIONAL DEVELOPMENT ISOLATION LOCAL COMMUNITY LOW-INCOME COUNTRIES MANAGERS MARKET FAILURES MARKETING MEDICAL TREATMENT MORAL HAZARD MOTIVATION MUTUAL AID NEIGHBORHOOD NONGOVERNMENTAL ORGANIZATIONS NUTRITION OUTPATIENT SERVICES OUTREACH PATIENTS PHARMACISTS PHYSICIANS POLITICAL ECONOMY POLITICAL INSTABILITY POVERTY ALLEVIATION PRIMARY CARE PRIMARY HEALTH CARE PRIVATE INSURANCE PRIVATE SECTOR PROVIDER INCENTIVES PUBLIC EMPLOYMENT PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC POLICY PUBLIC SECTOR QUALITY OF HEALTH CARE RELIGIOUS ORGANIZATIONS SOCIAL CAPITAL SOCIAL COHESION SOCIAL INSURANCE TAX BASE TAX COLLECTION TAX REVENUES WORKERS Hsiao, William C. Unmet Health Needs of Two Billion : Is Community Financing a Solution? |
| relation |
HNP discussion paper series; |
| description |
One of the most urgent and vexing
problem around the world is how to finance and provide
health care for the more than two billion peasants and
ghetto dwellers in low- and middle-income countries. Part I
of this paper develops a conceptual framework for community
financing and uses it to clarify and classify the variety of
community financing schemes. This section of the papers
discusses the impact of community financing schemes on
outcomes and compares them to several African countries.
Part II uses the conceptual framework developed above to
explain why some community financing schemes in Asia have
been successful and why some have failed. The review points
to a number of measure that governments could take to
strengthen such community financing. They include
subsidizing the premiums of the poor, providing technical
assistance to improve scheme management capacity, and
forging links with formal health care networks. Satisfaction
with the scheme was often related to the nature of direct
community involvement in their design and management. A
critical factor was the matching willingness and ability to
pay with the expectation of benefits to be received at some
later time. The review also highlighted several areas of
government actions that appear to have a negative impact on
the function of community financing schemes. Top-down
interference with scheme design and management appeared to
have a particularly negative impact on their function and sustainability. |
| format |
Publications & Research :: Working Paper |
| author |
Hsiao, William C. |
| author_facet |
Hsiao, William C. |
| author_sort |
Hsiao, William C. |
| title |
Unmet Health Needs of Two Billion : Is Community Financing a Solution? |
| title_short |
Unmet Health Needs of Two Billion : Is Community Financing a Solution? |
| title_full |
Unmet Health Needs of Two Billion : Is Community Financing a Solution? |
| title_fullStr |
Unmet Health Needs of Two Billion : Is Community Financing a Solution? |
| title_full_unstemmed |
Unmet Health Needs of Two Billion : Is Community Financing a Solution? |
| title_sort |
unmet health needs of two billion : is community financing a solution? |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2001/09/3541984/community-financing-solution-unmet-health-needs-two-billion-community-financing-solution http://hdl.handle.net/10986/13677 |
| _version_ |
1764424440876105728 |